The Challenging Image-Guided Preoperative Breast Localization: A Modality-Based Approach

Guirguis, Mary S.; Adrada, Beatriz E.; Scoggins, Marion E.; Moseley, Tanya W.; Dryden, Mark J.; Le-Petross, Huong; Rauch, Gaiane M.; Whitman, Gary J.

doi:10.2214/ajr.21.26664

Cited by 4 publications

(5 citation statements)

References 35 publications

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“…However, stereotactic localization has disadvantages, including longer procedure time, reduced patient comfort due to breast compression, and limited choice of direction of needle insertion for marker placement. Certain anatomic locations can be difficult to access mammographically, for example, lesions in extremely posterior, inferior, medial, and central positions ( 6 ). It could be challenging to adjust the depth of needle in z-axis.…”

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

“…Moreover, wires can be inserted into the breast using mammographic, US, or MRI guidance ( 11 , 24 , 25 ). Not unique to WGL, MMG-guided localizations are commonly more time-consuming and less tolerable due to the breast compression and procedure length ( 6 ). Additional views and tools such as a prone table may be required for optimal visualization.…”

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

“…Also, deep lesions can be particularly challenging on IOUS, especially if the tumor-to-breast ratio is small. In such circumstances, a low-frequency ultrasound transducer or a longer needle could be helpful ( 6 ).…”

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

“…A handpiece emits electromagnetic waves and non-injurious infrared light, and the electromagnetic wave signal is then reflected from the reflector to provide real-time direction and distance guidance ( Figure 6 ) ( 83 ). The radar reflector device contains two antennas made of nickel titanium ( 6 ). The detection range can be up to 6 cm deep from the skin surface ( Figure 7 ) ( 83 ).…”

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

“…This non-radioactive reflector-guided localization technique is favored by both doctors and patients. It has minimal artifacts on MRI ( 83 ) ( Figure 8 ), unlike magnetic seed and radiofrequency identification (RFID) tags ( 6 ). It overcomes most of the disadvantages of WGL with the absence of external components and the possibility of early placement ( 81 ).…”

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

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Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective

Cheung,

Co,

Lui

et al. 2024

Transl Breast Cancer Res

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Background and Objective With an increasing number of non-palpable breast lesions detected due to improved screening, accurate localization of these lesions for surgery is crucial. This literature review explores the evolution of localization methods for non-palpable breast lesions, highlighting the translational journey from concept to clinical practice. Methods A comprehensive search of PubMed, Embase, and Scopus databases until September 2023 was conducted. Key Content and Findings Multiple methods have been developed throughout the past few decades. (I) Wire-guided localization (WGL) introduced in 1966, has become a reliable method for localization. Its simplicity and cost-effectiveness are its key advantages, but challenges include logistical constraints, patient discomfort, and potential wire migration. (II) Intraoperative ultrasound localization (IOUS) has shown promise in ensuring complete lesion removal with higher negative margin rates. However, its utility is limited to lesions visible on ultrasound (US) imaging. (III) Breast biopsy marker localization: the use of markers has improved the precision of localization without the need for wire. However, marker visibility remains a challenge despite improvements in their design. (IV) Radioactive techniques: radio-guided occult lesion localization (ROLL) and radioactive seed localization (RSL) offer flexibility in scheduling and improved patient comfort. However, they require close multidisciplinary collaboration and specific equipment due to radioactive concerns. (V) Other wireless non-radioactive techniques: wireless non-radioactive techniques have been developed in recent three decades to provide flexible and patient-friendly alternatives. It includes magnetic seed localization, radar techniques, and radiofrequency techniques. Their usage has been gaining popularity due to their safety profile and allowance of more flexible scheduling. However, their high cost and need for additional training remain a barrier to a wider adoption. Conclusions The evolution of breast lesion localization methods has progressed to more patient-friendly techniques, each with its unique advantages and limitations. Future research on patient-reported outcomes, cosmetic outcomes, breast biopsy markers and integration of augmented reality with breast lesion localization are needed.

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Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

Section: Localization Methods For Non-palpable Breast Lesionsmentioning

confidence: 99%

See 3 more Smart Citations

Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective

Cheung,

Co,

Lui

et al. 2024

Transl Breast Cancer Res

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SCOUT® Localization Using MRI Guidance: Initial Experience

Dashevsky,

Yan,

Liang

et al. 2024

Journal of Breast Imaging

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Objective The Food and Drug Administration approved the MRI-compatible wireless SCOUT localization system in April 2022. The purpose of this study was to evaluate feasibility of SCOUT localization under MRI guidance. We present our initial experience adopting MRI-guided SCOUT localization and compare it to MRI-guided wire localization. Methods Electronic medical records and imaging were retrospectively reviewed for all patients who underwent MRI-guided SCOUT or wire localization at our institution between October 2022 and July 2023. Statistical analysis was performed using 2-sample proportion and Wilcoxon rank-sum tests. Results There were 14 MRI-guided SCOUT and 23 MRI-guided wire localization cases during the study period. All SCOUTs were placed without complication and were considered to be in adequate proximity to the target. There was no significant difference in complication rate (P = .25) or days lapsed from MRI-detected abnormality to surgery (P = .82) between SCOUT and wire cases. SCOUT was placed at time of biopsy for 71% (10/14) of cases. 57% (8/14) of SCOUT cases were used for breast conservation surgery (BCS) compared to 100% (23/23) of wire cases (P <.01), with all 6 SCOUTs not used for BCS placed at time of biopsy. Conclusion MRI-guided SCOUT localization is feasible and offers an alternative to MRI-guided wire localization, with no SCOUT complications reported. SCOUT placement at time of biopsy obviates the need for an additional procedure, but predicting appropriateness is challenging, with 60% (6/10) of SCOUTs placed at time of MRI-guided biopsy not used for subsequent localization surgery.

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Additional References Relevant to Preoperative Breast Lesion Localization Techniques

Kopans

2022

American Journal of Roentgenology

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The Challenging Image-Guided Preoperative Breast Localization: A Modality-Based Approach

Cited by 4 publications

References 35 publications

Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective

Evolution of localization methods for non-palpable breast lesions: a literature review from a translational medicine perspective

SCOUT® Localization Using MRI Guidance: Initial Experience

Additional References Relevant to Preoperative Breast Lesion Localization Techniques

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